Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1.
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
5 matrix group(s) are already attached for review on this item.
7 governed answer row(s) are attached for this item.
Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1.
Use this item when the facility is completing content tied to Section B and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1. The Single Item Literacy Screener is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Similar to language barriers, low health literacy interferes with communication between provider and resident. Health literacy can also affect residents’ ability to understand and follow treatment plans, including medication management. Poor health literacy is linked to lower levels of knowledge of health, worse outcomes, the receipt of fewer preventive services, and higher medical costs and rates of emergency department use.
Assessing for health literacy will facilitate better care coordination and discharge planning.
HEALTH LITERACY Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information health informationhealth information and services needed to make appropriate health decisions.
This item is intended to be a resident self-report item. No other source should be used to identify the response.
1. Ask the resident, “How often do you need to have someone help you when you read
instructions, pamphlets, or other written material from your doctor or pharmacy?”
Code 0, Never: if the resident indicates never needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.
Code 1, Rarely: if the resident indicates rarely needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.
Code 2, Sometimes: if the resident indicates sometimes needing help reading
instructions, pamphlets, or other written materials from doctors or pharmacies.
Code 3, Often: if the resident indicates often needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.
Code 4, Always: if the resident indicates always needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.
Code 7, Resident declines to respond: if the resident declines to respond.
Code 8, Resident unable to respond: if the resident is unable to respond.
Example 1. When asked how often they need help when reading the instructions provided by their doctor, the resident reports that they never need help. The resident’s adult child is present and shares that a family member must always accompany the resident to doctors’ visits and that the resident often needs someone to explain the written materials to them multiple times before they understand, providing examples of needing to frequently explain to the resident why they are on a special diet and why and how to take some of their medications.
Coding: B1300, Health Literacy is coded as Code 0, Never.
Rationale: The resident indicates they never need help reading instructions from their
doctor or pharmacist. B1300, Health Literacy is intended to be a resident self-report item and no other sources, including family members/caregivers, should be used to identify the response to this item. Intent: The items in this section are intended to determine the resident’s attention, orientation and ability to register and recall new information and whether the resident has signs and symptoms of delirium. These items are crucial factors in many care-planning decisions.